Organization Active NPI

Roberto a Llantada MD PA

  • Primary Care Clinic/Center
  • Hialeah, FL
National Provider Identifier
1245478965
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME28478 Issued in FL
Legal business name
ROBERTO A LLANTADA MD PA
Practice address
3831 Palm Avenue
Hialeah, FL 33012-4445
Phone
(305) 557-0092
Fax
(305) 557-0450
NPI assigned
Feb 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Roberto A Llantada, MD
Title
Managing Director
Phone
(305) 557-0092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME28478 FL Primary

Addresses

Primary practice location

3831 Palm Avenue
Hialeah, FL 33012-4445

Mailing address

3831 Palm Avenue
Hialeah, FL 33012-4445
Phone (305) 557-0092

National Provider Directory

National Provider Directory

Locations

3831 Palm Ave
Hialeah, FL 33012
Phone (305) 557-0092

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1245478965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 PALM AVENUE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124445",
            "telephone_number": "305-557-0092",
            "fax_number": "305-557-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 PALM AVENUE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124445",
            "telephone_number": "305-557-0092",
            "fax_number": "305-557-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTO A LLANTADA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "LLANTADA",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "305-557-0092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME28478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.